Individual provider · Type 1 NPI
Tracey Frederiksen, MC
Mental Health Counselor · Prescott, AZ
NPI number
1093961708
Active
Practice location
2228 Lakewood Dr
Prescott, AZ 86301-4476
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LAC-11878 (AZ) |
Mental Health Counselor: Definition to come...
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About NPI 1093961708
Tracey Frederiksen, MC's National Provider Identifier is 1093961708, issued on Aug 13, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Prescott, AZ. The record was last updated on Aug 13, 2008.